Effect of exercise time on intestinal cleanliness of the patients undergoing colonoscopy
-
摘要:
目的 探讨不同的运动时间对于提高药物清洁肠道作用的效果，从而优化肠道清洁方案，提高结肠镜检查准确性。 方法 收集2017年2月~2017年9月广东省人民医院消化一区需要进行结肠镜检查的住院患者作为观察对象，共入选60例患者，其中男性41例，女性19例，年龄25~83岁；将以上患者随机分为A、B、C组，每组20例，3组的性别构成及年龄差异均无统计学意义（P>0.05）。采用国际公认的波士顿Boston肠道准备量表评分，比较3组患者的肠道清洁度；并比较分析3组的泻药不良反应、对运动的耐受性。 结果 3组患者肠段清洁度差异有统计学意义（P<0.001）；对泻药的不良反应差异无统计学意义（P=0.067）；C组对运动的耐受性最差（P<0.05）。 结论 口服复方聚乙二醇后散步30~60 min是较为理想、有效的肠道准备方法，可满足结肠镜检查的需要。 Abstract:Objective To investigate the effect of different exercise time on improving the effect of drug cleaning on the intestinal tract, and to optimize the intestinal cleansing program and improving the accuracy of colonoscopy. Methods Sixty hospitalized patients were enrolled who needed to undergo colonoscopy from February 20 to 2017 in Guangdong Province in September 2017. There were 41 males and 19 females aged 25~83 years (P>0.05). The patients were randomly divided into 3 groups: group A, group B and group C (n=20). No significant difference were found between the two groups for gender composition and age (P>0.05). Boston Intestinal Preparation Scale were used to compare the intestinal cleanliness between 3 groups. The adverse effects of laxatives and the tolerance to exercise were compared. Results The bowel cleanliness of patients in the three groups were significantly different (P<0.001). The differences of adverse effects on laxatives in 3 groups were not significant (P=0.067). C group had the worst tolerance to exercise (P<0.05). Conclusion Walking 30-60 min after oral administration of compound polyethylene glycol is an effective method for intestinal preparation. It is help for colonoscopy. -
Key words:
- time /
- colonoscopy /
- bowel preparation /
- intestinal cleanliness /
- exercise /
- walking
-
表 1 3种不同运动时间后的肠段清洁效果波士顿评分（n）
结肠波士顿评分 A组 B组 C组 合计 秩次范围 平均秩次 2 0 0 2 2 1~2 1.5 3 0 0 9 9 3~11 7 4 12 9 9 30 12~41 26.5 5 4 5 0 9 42~50 46 6 2 6 0 8 51~58 54.5 7 2 0 0 2 59~60 59.5 合计 20 20 20 60 – – 秩均值 36.5 39.78 15.23 – – – H=29.906, P<0.001. 
下载: 导出CSV
表 2 不同运动时间后患者不良反应发生情况（n）
不良反应发生项 <30 min 30~60 min >60 min 合计 0~1项 6 14 8 28 2~3项 11 4 9 24 4~5项 3 2 3 8 合计 20 20 20 60 H=5.415, P=0.067.
下载: 导出CSV
表 3 不同运动时间后患者对运动的耐受性（n）
对运动的耐受性 <30 min 30~60 min >60 min 合计 不能接受 3 1 7 11 较难接受 3 2 2 7 可以接受 6 5 6 17 容易耐受 8 12 5 25 合计 20 20 20 60 秩均值 30.45 37.35 23.7 – H=6.808, P=0.033.
下载: 导出CSV
-
[1] 房静远, 郑 树, 姜 泊. 等中国大肠肿瘤筛查, 早诊早治和综合防治共识意见[J]. 胃肠病学和肝病学杂志, 2011, 20(11): 979-95. doi: 10.3969/j.issn.1006-5709.2011.11.001 [2] 付汉东, 张爱华, 袁岸龙, 等. 结肠癌患者血清Dermokine-β检测方法的建立及临床意义[J]. 国际检验医学杂志, 2012, 33(03): 308-12. http://d.wanfangdata.com.cn/Periodical/gwyx-lcsw201203024 [3] Group UW. United States Cancer statistics(USCS): 1999-2008 incidence and mortality data[R]. Atlanta: Department of Health and Human Services, CDC, National Cancer Institute, 2010. [4] 韩 英, 李世荣, 盛剑秋. 开展大肠肿瘤" 伺机性筛查”, 提高早诊早治水平[J]. 胃肠病学和肝病学杂志, 2010, 19(7): 581-3. [5] 陆再英, 钟南山, 赵 磊. 内科学[M]. 7版. 北京: 人民卫生出版社, 2008: 420-1. [6] Hurlstonc Dp, Sanders DS. Detection and treatment of early fiat, depressed colorectal cancer using high-magni fica-tion chromoscopic colonoscopy. A change in paradigm for western endoscopists[J]. Dig Dis Sci, 2007, 52(6): 1387-93. doi: 10.1007/s10620-006-9460-2 [7] Chen HM, Weng YR, Jiang B, et al. Colonoscopy findings of colorectal adenoma and cancer in symptomatic patients in China between 1990 and 2009[J]. J Dig Dis, 2011, 12(10): 371-8. [8] 李卫辉. 肠镜检查前后的护理体会[J]. 吉林医学, 2011, 32(3): 7626-9. http://d.wanfangdata.com.cn/Periodical/jilinyx201135179 [9] Dahshan A, Lin CH, Peters J, et al. A randomized, prospective study to evaluate the efficacy and acceptance of three bowel preparations for colonoscopy in children[J]. Am J Gastroen-terol, 1999, 94(12): 3497-501. doi: 10.1111/ajg.1999.94.issue-12 [10] Rostom A, Jolicoeur E. Validation of a new scale for the assess-ment of bowel preparation quality[J]. Gastrointest Endosc, 2004, 59(4): 482-6. doi: 10.1016/S0016-5107(03)02875-X [11] 谢 菁, 胡祥鹏. 结肠镜检查采用不同药物行肠道准备的效果比较[J]. 临床护理杂志, 2013, 12(03): 70-1. doi: 10.3969/j.issn.1671-8933.2013.03.032 [12] Senore C, Ederle A, Fantin A, et al. Acceptability and side-effects of colonoscopy and sigmoidoscopy in a screening setting[J]. J Med Screen, 2011, 18(3): 128-34. doi: 10.1258/jms.2011.010135 [13] Rex DK, Imperiale TF, Latinovich DR, et al. Impact of bowel preparation on efficiency and cost of colonoscopy[J]. Am J Gastroenterol, 2002, 97(7): 1696-700. doi: 10.1111/j.1572-0241.2002.05827.x [14] Harewood GC, Sharma VK, de Garmo P. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia[J]. Gastrointest Endosc, 2003, 58(1): 76-9. doi: 10.1067/mge.2003.294 [15] Oh SI, Sung IK. Factors affecting the technical difficulty of colonoscopy[J]. Hepatogastroenterology, 2007, 54(77): 1403-6. [16] Davis GR, Santa CA, Morawski SG, et al. Development of a lavage solution associated with minmal water and electrolyte absorption or secretion[J]. Gastroenterology, 1980, 78(5): 991-5. [17] 罗贝贝, 陈佩杰. 运动应激与肠道黏膜屏障[J]. 中国运动医学杂志, 2013, 32(05): 462-5. doi: 10.3969/j.issn.1000-6710.2013.05.014 [18] 漆艳娥, 杨雪菲, 周 雪, 等. 运动与肠道菌群的相关性[J]. 中国微生态学杂志, 2016, 28(07): 857-60. http://d.wanfangdata.com.cn/Periodical/zgwstxzz201607028 [19] Peters HP, De Vries WR, Vanberge-Henegouwen GP, et al. Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract[J]. Gut, 2001, 48(3): 435-9. doi: 10.1136/gut.48.3.435 [20] Zuhl M, Schneider S, Lanphere K, et al. Exercise regulation of intestinal tight junction proteins[J]. Br J Sports Med, 2014, 48(12): 980-6. doi: 10.1136/bjsports-2012-091585 [21] 乔德才, 刘谨彦, 赵立平. 运动性胃肠综合征研究现状[J]. 中国运动医学杂志, 2004, 26(01): 73-5. http://d.wanfangdata.com.cn/Periodical/zgydyxzz200401016 -
点击查看大图
表(3)
计量
- 文章访问数: 780
- HTML全文浏览量: 246
- PDF下载量: 2
- 被引次数: 0
